Individual provider · Type 1 NPI

Fardad Moein Vaziri, DMD

Student in an Organized Health Care Education/Training Program · Stony Brook, NY

NPI number 1477816767 Active

Practice location

Stony Brook University School Of, 114 Rockland Hall
Stony Brook, NY 11794-8700

Call (516) 570-0112 Map

Mailing address

114 Rockland Hall, Stony Brook University School Of Dental Medicine
Stony Brook, NY 11794-8700

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1477816767

Fardad Moein Vaziri, DMD's National Provider Identifier is 1477816767, issued on Jun 21, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Stony Brook, NY. The record was last updated on Jun 21, 2012.